Active NPI
Wendy Sue Kelley
- Physical Therapist
- Westborough, MA
National Provider Identifier
1881032845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8276
- Practice address
- 24 Lyman St
Suite 140
Westborough, MA 01581-1482 - Phone
- (508) 329-1171
- NPI assigned
- Jun 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8276 | MA | Primary |
| Geriatric Physical Therapist | 2251G0304X |
Addresses
Primary practice location
24 Lyman St
Suite 140
Westborough, MA 01581-1482
Mailing address
24 Lyman St
Suite 140
Westborough, MA 01581-1482
Phone (508) 329-1171
Other names 1
- Wendy Sue Bloom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8276 | MA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pgreilly Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Westborough, MA
- NPI 1710325774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1881032845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 LYMAN ST",
"address_2": "SUITE 140",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811482",
"telephone_number": "508-329-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 LYMAN ST",
"address_2": "SUITE 140",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811482",
"telephone_number": "508-329-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "WENDY",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "8276",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "BLOOM",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.